| Phebus Behavioral Health Llc | |
|
3601 Sagamore Pkwy N Ste G Lafayette IN 47904-5033 | |
| (765) 232-3503 | |
| (765) 544-3740 |
| Full Name | Phebus Behavioral Health Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 3601 Sagamore Pkwy N Ste G, Lafayette, Indiana |
| Authorized Official Name and Position | Amber Reann Phebus (CEO) |
| Authorized Official Contact | 7654187477 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Phebus Behavioral Health Llc 5695 E Valleyview Pt Bringhurst IN 46913-9441 Ph: (765) 418-7477 | Phebus Behavioral Health Llc 3601 Sagamore Pkwy N Ste G Lafayette IN 47904-5033 Ph: (765) 232-3503 |
| NPI Number | 1386485233 |
|---|---|
| Provider Enumeration Date | 06/04/2024 |
| Last Update Date | 08/16/2024 |
| Certification Date | 08/16/2024 |
| Medicare PECOS PAC ID | 2365985470 |
|---|---|
| Medicare Enrollment ID | O20240618000746 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386485233 | NPI | - | NPPES |
| Provider Name | Amber Reann Phebus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639809528 PECOS PAC ID: 0042688178 Enrollment ID: I20221122000811 |
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